EP0959755B1 - Verfahren und system zum überwachen des gesundheitszustandes eines patienten - Google Patents

Verfahren und system zum überwachen des gesundheitszustandes eines patienten Download PDF

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Publication number
EP0959755B1
EP0959755B1 EP97904469A EP97904469A EP0959755B1 EP 0959755 B1 EP0959755 B1 EP 0959755B1 EP 97904469 A EP97904469 A EP 97904469A EP 97904469 A EP97904469 A EP 97904469A EP 0959755 B1 EP0959755 B1 EP 0959755B1
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EP
European Patent Office
Prior art keywords
patient
measuring device
mobile phone
measuring
measurement
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Lifetime
Application number
EP97904469A
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English (en)
French (fr)
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EP0959755A1 (de
Inventor
Pekka Heinonen
Harri Okkonen
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Nokia Oyj
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Nokia Oyj
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Filing date
Publication date
Application filed by Nokia Oyj filed Critical Nokia Oyj
Publication of EP0959755A1 publication Critical patent/EP0959755A1/de
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Anticipated expiration legal-status Critical
Expired - Lifetime legal-status Critical Current

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/0002—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network
    • A61B5/0015—Remote monitoring of patients using telemetry, e.g. transmission of vital signals via a communication network characterised by features of the telemetry system
    • A61B5/0022—Monitoring a patient using a global network, e.g. telephone networks, internet
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00—Measuring for diagnostic purposes; Identification of persons
    • A61B5/145—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue
    • A61B5/14532—Measuring characteristics of blood in vivo, e.g. gas concentration, pH value; Measuring characteristics of body fluids or tissues, e.g. interstitial fluid, cerebral tissue for measuring glucose, e.g. by tissue impedance measurement
    • G—PHYSICS
    • G16—INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR SPECIFIC APPLICATION FIELDS
    • G16H—HEALTHCARE INFORMATICS, i.e. INFORMATION AND COMMUNICATION TECHNOLOGY [ICT] SPECIALLY ADAPTED FOR THE HANDLING OR PROCESSING OF MEDICAL OR HEALTHCARE DATA
    • G16H40/00—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices
    • G16H40/60—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices
    • G16H40/67—ICT specially adapted for the management or administration of healthcare resources or facilities; ICT specially adapted for the management or operation of medical equipment or devices for the operation of medical equipment or devices for remote operation
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10—TECHNICAL SUBJECTS COVERED BY FORMER USPC
    • Y10S—TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y10S128/00—Surgery
    • Y10S128/904—Telephone telemetry

Definitions

  • the present invention relates to a method for monitoring the health of a patient by utilizing measurements.
  • the invention further relates to a system for monitoring the health of a patient, the system comprising a portable measuring device for carrying out a measurement in order to evaluate the patient's health, and a data processing system that is available to a person treating the patient and that maintains data about the results of the performed measurements.
  • the invention also relates to a portable measuring device for carrying out a measurement in order to evaluate the health of a patient.
  • the invention relates specifically to the selfcare and monitoring of the health of a patient with diabetes, but the method, system and measuring device according to the invention can also be utilized in other connections. However, in the following the invention will be described by way of an example specifically in connection with treating diabetes.
  • monitoring the health of a patient with diabetes is primarily based on the measurement of the patient's blood glucose level at regular intervals. Treating diabetes requires regular meaurements and regular monitoring of the measurement results in order to ensure that the patient's blood glucose level definitely remains within the allowable area and that the patient's medication is optimal.
  • the patient has to use several instruments which include at present for example a lancet for pricking the skin, a strip for taking a blood sample, and a measuring device to which the strip containing the blood sample is supplied in order to measure the blood glucose level.
  • the prior measuring devices usually measure the blood glucose level either electrically or optically.
  • the patient For the purpose of obtaining data about the development of a patient health, for example the blood glucose level, over a longer period, the patient must also keep a record of the results of blood samples, for instance.
  • US patent 5,415,167 describes methods for automatically diagnosing conditions based on the dimensions of a patients internal organ.
  • the document presents a sensing device coupled to the modem to enable data transfer to a remote monitoring facility over a telephone line, and another system involving direct transmission of a radio signal from the transmitter of the sensor to a receiver of the remote monitoring facility. Both these systems anyhow confine the monitoring to the vicinity of a fixed land-line telephone or the remote monitoring facility, which is inpractical for conditions such as diabetes where regular and often infrequent monitoring is required.
  • the purpose of the present invention is to solve the above-described problem and to provide a method by means of which a doctor treating a patient is able to monitor the health of the patient under his care more accurately and effectively than previously.
  • This object is achieved with a method according to the invention in which a patient independently performs measurements and which is characterized by supplying the results of the measurement using the single portable measuring device comprising a measuring unit and a mobile phone being integrated into a single portable measuring device, utilizing a mobile communication network, to a data processing system available to a person monitoring the patient's health; and monitoring the patient's health by means of the data stored in the data processing system.
  • a person monitoring the patient's health refers in this connection to anyone who participates in the treatment of the patient and who needs to monitor the development of the patient's health. Therefore this person does not necessarily have to be a doctor, but for example in connection with treating a child the parents may monitor the patient's health.
  • the invention also relates to a system wherein the method according to the invention can be utilized.
  • the system according to the invention is characterized in that the said measuring device comprises a measuring unit and a mobile phone that utilizes mobile communication network and that is connected to said unit, the measuring device comprising means for supplying the result of the measurement carried out by the measuring unit via said mobile communication network to said data processing system, and the measuring unit and the mobile phone being integrated into a single portable measuring device.
  • the aformentioned data processing system may be a data processing system of a hospital, for example, or some other corresponding support unit.
  • the invention further relates to a portable measuring device with which the method according to the invention can be applied.
  • the measuring device according to the invention is characterized in that said measuring device comprises a measuring unit and a mobile phone that utilizes a mobile communication network and that is connected to said unit, the measuring unit comprising means for supplying the result of the measurement via the mobile phone to a data processing system available to a person treating the patient, and the measuring unit and the mobile phone being integrated into a single portable measuring device.
  • the measuring unit of the measuring device preferably is arranged for placement in the battery space of the mobile phone and for connection to a communication bus of the mobile phone and comprising means for supplying the measurement results to the mobile phone via the communications bus whereby the results can be further transmitted via the mobile communication network to said data processing system available to a person treating the patient.
  • the invention is based on the idea that when the results of the measurements carried out by the patient himself are transmitted automatically via a mobile communication network directly to the person or persons treating him, the doctor is able to monitor the development of the patient's health better than before and to help the patient in his self-care, so that the treatment of the patient is considerably improved.
  • Use of a mobile communication network enables the doctor to obtain the measurement results concerning the patient's health in real time, if required, regardless of the patient's current location.
  • the patient and the doctor can transmit the latest measurement results to the doctor for example from a summer cottage situated in a remote area, whereafter the patient and the doctor may discuss further treatment for example by phone, if necessary. Also, for example when examining the recent measurement results of the patient, the doctor may discover that the patient's medication should be changed and he can thus ask the patient to make an appointment for more detailed tests.
  • the primary advantages of the arrangement according to the invention therefore include the accurate and rapid transmission of measurement results from the patient to the doctor, the gathering of measurement results in the patient's normal environment so that for example the patient's actual exercise level and/or diet are more apparent in the measurement results and hospital surroundings do not distort the results, and the possibility for the doctor to monitor the recent development of the patient's health without the patient having to make an appointment with the doctor, in which case the patient can visit the doctor/the hospital only when he really needs and not according to a predetermined schedule.
  • the measuring device consists of a mobile phone and of a combination of a measuring unit and a battery placed in the battery space of the mobile phone.
  • This embodiment of the invention of highly advantageous since it can be implemented utilizing prior components, i.e. for example a mobile phone of the GSM system and an existing mobile communication system, and therefore the application of the arrangement according to the invention is very economical.
  • the measuring unit is designed in such a way that it can be placed in the battery space of the mobile phone, the number of the articles the patient has to carry with him is minimized. Therefore the patient can easily carry the measuring device with him without attracting the attention of other people in the same way as when carrying a separate measuring device.
  • Another advantage of the mobile phone is that the doctor can contact the patient any time with the phone for example in a situation where the doctor has noticed a need for a personal contact on the basis of the patient's recent measurement results, for example when the risk of hypoglycaemia has increased.
  • FIG 1 is a block diagram of the first preferred embodiment of the system according to the invention.
  • the measuring device 1 shown in Figure 1 consists of a mobile phone and a measuring unit.
  • the invention will be described below by way of an example, assuming that the measuring unit comprises means for measuring the blood glucose level, even though the measuring unit may also comprise means for performing some other measurement, such as for measuring blood pressure, fever or pulse.
  • the measuring device 1 transmits the measurement result to the data processing system 9 of the hospital 2.
  • the mobile phone that forms a part of the measuring device 1 and that is assumed to be, by way of an example, a mobile phone of the GSM mobile communication system (Groupe Spécial Mobile) transmits the measurement result supplied by the measuring unit in the form of a short message 3 to a base station 4.
  • the base station 4 forwards the message via a base station controller 5, a mobile services switching centre (MSC) 6 and a gateway centre 7 to a short message service centre (SMSC) 8 in the mobile system.
  • MSC mobile services switching centre
  • SMSC short message service centre
  • the GSM system and the short message service thereof are described in greater detail for example in The GSM System for Mobile Communications by M. Mouly and M. -B. Pautet, Palaiseau, France, 1992, ISBN: 2-9507190-0-7, and therefore they will not be described in greater detail in this connection.
  • the short message service centre 8 may be programmed specifically in each case to transmit the short message received from the patient's measuring device 1 directly to the data processing system 9 of the hospital 2, where it is stored in the patient database of the hospital, or alternatively the message can be temporarily buffered to the short message service centre 8, until the doctor treating the patient reads it via the data processing system 9 of the hospital 2 or alternatively for example via his mobile phone 10. Therefore the doctor treating the patient has at all times access to the patient's measurement results regardless of the current location of the doctor and/or the patient.
  • the hospital data processing system 9 preferably contains for each patient the results of the measurements, carried our with the patient's own measuring device 1 or alternatively performed at the hospital, for a period of several years. Therefore the doctor treating the patient can monitor the development of the patient's health via the data processing system 9 for example by utilizing a trend analysis also when the doctor and the patient have not been in direct communication with each other.
  • the patient may also transmit information other than the measurement result and the time of measurement from his measuring device1.
  • information other than the measurement result and the time of measurement from his measuring device1.
  • a patient with diabetes can supply data concerning for example his diet, dosage of insulin, exercise or the like via the keyboard of the measuring device, and also this information will be forwarded by means of a short message to the data processing system 9 used by the doctor treating the patient.
  • the hospital data processing system 9 preferably also provides other reports concerning individual patients and/or for example all patients with a certain disease. Therefore, also users other than the patient's own doctor can utilize the data gathered in the data processing system for example for the purpose of drafting different types of statistics or instructions for treatment. Possible other users include for example authorities, insurance companies, research centres and the like.
  • FIGs 2 and 3 illustrate the first preferred embodiment of the measuring device according to the invention.
  • the measuring device is shown in a diagonal front view and in Figure 3 in a rear view.
  • the measuring device 1 consists of a mobile phone MS and a measuring unit 11 placed in the battery space of the mobile phone.
  • the mobile phone MS shown in Figures 2 and 3 may be for example a phone of the GSM system known per se, provided with connectors by means of which the measuring unit 11 placed in the battery space can be connected to a communication bus of the phone.
  • the phone may also have been subjected to changes concerning its software, so that the measuring unit 11 is able to utilize the display 12 and the keyboard 13 of the phone.
  • the measuring unit 11 is designed in such a way that it fits in the battery space of the mobile phone MS when the normal battery of the phone has been removed therefrom.
  • the measuring unit therefore also comprises a battery 14 that supplies an operating voltage to the mobile phone MS and to the measuring unit 11 itself.
  • the measuring unit preferably further comprises a back-up battery that makes it possible to also perform measurements with the measuring unit when the battery 14 has run down and no calls can be made from the mobile phone.
  • Figure 3 illustrates the measuring means provided in the measuring unit of the measuring device 1.
  • the measuring device shown in Figure 3 comprises means for measuring the blood glucose level in an electric manner known per se, even though the measuring device could also be provided with means for carrying out the measurement optically or even without a need to penetrate the skin.
  • the measuring unit 11 comprises an integrated lancet 19 that may be operated for example with a spring so that the patient can easily prick the skin with it.
  • the patient thereafter pulls out a strip 16 that is known per se and that is placed for example on a reel 15 in the measuring unit 11, the strip being impregnated with the drop of blood (the structure of the strip is illustrated in greater detail in Figure 4).
  • One reel provided in the measuring unit 11 may comprise for example strips needed for one week. Electrodes which are provided in the strip and between which the drop of blood is absorbed are connected to an electronic section provided in the measuring unit 11, the section comprising means for measuring the blood glucose level.
  • the electronic section 20 comprises for example an A/D converter and a memory, for example a ROM table, where the glucose levels corresponding to different electric measurement values are stored. If the measuring unit employs optical measurement instead of resistance measurement, the ROM table correspondingly stores glucose levels corresponding to different optical measurement values.
  • the electronic section 20 also preferably comprises a memory where the measurement result can be stored.
  • the measuring unit can operate independently so that the measurement result is stored in the memory provided therein.
  • the electronic section of the measuring unit 11 activates the short message transmission described in connection with Figure 1 in order to forward the measurement result to the data processing system of the doctor treating the patient.
  • the electronic section 20 preferably comprises means for storing in memory several earlier measurement results and for compiling statistics on them, so that the patient can browse through previous measurement results and monitor their development by means of the keyboard 13 and the display 12 of the mobile phone MS.
  • the electronic section may also store a special program related to the act of measurement, the program guiding the patient in carrying out the measurement for example by providing advice via the display 12.
  • the program may for example provide the patient with a prompt urging him to immediately contact the doctor if the measurement results exceed or fall below a predetermined threshold value.
  • FIG 4 illustrates the strip 16 shown in Figure 3.
  • the strip 16 known per se having for example the outer dimensions of 2mm x 7mm, comprises two integrated electrodes 17 and 18. Between the electrodes there is a capillary which is impregnated with a blood sample. The blood sample can thereafter be subjected to electrical measurement by connecting the ends of the electrodes 17 and 18 projecting from the strip to the measuring unit.

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Physics & Mathematics (AREA)
  • Public Health (AREA)
  • General Health & Medical Sciences (AREA)
  • Medical Informatics (AREA)
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  • Heart & Thoracic Surgery (AREA)
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  • Business, Economics & Management (AREA)
  • General Business, Economics & Management (AREA)
  • Epidemiology (AREA)
  • Primary Health Care (AREA)
  • Measuring And Recording Apparatus For Diagnosis (AREA)
  • Measurement Of The Respiration, Hearing Ability, Form, And Blood Characteristics Of Living Organisms (AREA)

Claims (8)

  1. Verfahren zur Überwachung der Gesundheit eines Patienten, umfassend:
    Empfangen von Ergebnissen einer Messung am Patienten, die durch Verwenden eines tragbaren Messgeräts (1) durchgeführt wird;
    Liefern der Ergebnisse der Messung unter Verwendung des tragbaren Messgeräts (1), das eine Messeinheit (11) und ein Mobiltelefon (MS) umfasst, die in ein einziges tragbares Messgerät (1) eingebaut sind, unter Benutzung eines Mobilkommunikationsnetzes an ein Datenverarbeitungssystem (2), das einer Person zur Verfügung steht, welche die Gesundheit des Patienten überwacht; und
    Überwachen der Gesundheit des Patienten mittels der Daten, die im Datenverarbeitungssystem (2) gespeichert sind.
  2. System zur Verwendung bei der Überwachung der Gesundhit eines Patienten, wobei das System umfasst:
    ein Datenverarbeitungssystem (2), das einer Person zur Verfügung steht, die den Patienten behandelt, und das Daten über die Ergebnisse von durchgeführten Messungen bewahrt; und
    ein tragbares Messgerät (1) zum Durchführen einer Messung, um die Gesundheit des Patienten zu bewerten,
    wobei das Messgerät (1) eine Messeinheit (11) und ein Mobiltelefon (MS) umfasst, das ein Mobilkommunikationsnetz (3, 4, 5, 6, 7, 8) benutzt und mit der Einheit (11) verbunden ist, wobei das Messgerät (1) Mittel (MS) zum Liefern des Ergebnisses der Messung, welche durch die Messeinheit durchgeführt wird, über das Mobilkommunikationsnetz an das Datenverarbeitungssystem (2) umfasst und die Messeinheit (11) und das Mobiltelefon (MS) in ein einziges tragbares Messgerät (1) eingebaut sind.
  3. System nach Anspruch 2, dadurch gekennzeichnet, dass die Messeinheit (11) Mittel (15, 16, 19, 20) zum Messen des Glukoseblutspiegels des Patienten und Liefern der Messergebnisse über das Mobiltelefon an das Datenverarbeitungssystem (2) umfasst.
  4. Tragbares Messgerät (1) zum Durchführen einer Messung, um die Gesundheit eines Patienten zu bewerten, wobei das Messgerät (1) eine Messeinheit (11) und ein Mobiltelefon (MS) umfasst, das ein Mobilkommunikationsnetz (3, 4, 5, 6, 7, 8) benutzt und das mit der Einheit (11) verbunden ist, wobei die Messeinheit Mittel (MS) zum Liefern des Ergebnisses der Messung über das Mobiltelefon an ein Datenverarbeitungssystem (2) umfasst, das einer Person zur Verfügung steht, die den Patienten behandelt, und die Messeinheit (11) und das Mobiltelefon (MS) in ein einziges tragbares Messgerät (1) eingebaut sind.
  5. Messgerät nach Anspruch 4, dadurch gekennzeichnet, dass die Messeinheit (11) Mittel (15, 16, 19, 20) zum Messen des Glukoseblutspiegels des Patienten und zum Liefern der Messergebnisse über das Mobiltelefon an das Datenverarbeitungssystem (2) umfasst.
  6. Messgerät nach Anspruch 4, dadurch gekennzeichnet, dass das Messgerät Mittel (15, 16, 19, 20) zum Messen des Glukoseblutspiegels des Patienten und Messstreifen (16), die auf einer Rolle (15) innerhalb des Messgeräts (1) gehalten werden, umfasst, wobei die Anzahl der Messstreifen, die auf der Rolle gehalten werden, dem Bedarf von mehreren Tagen entspricht.
  7. Messgerät nach Anspruch 4, dadurch gekennzeichnet, dass die Messeinheit zur Anordnung im Fach der Batterie (14) des Mobiltelefons (MS) ausgelegt und an einen Übertragungsbus des Mobiltelefons angeschlossen ist, wobei die Messeinheit (11) Mittel (20) zum Liefern der Messergebnisse über den Übertragungsbus des Mobiltelefons zum Mobiltelefon (MS) und weiter über das Mobilkommunikationsnetz (3, 4, 5, 6, 7, 8) an das Datenverarbeitungssystem (2) umfasst.
  8. Messgerät nach Anspruch 4, dadurch gekennzeichnet, dass das Mobiltelefon das GSM-System benutzt und Mittel (20) zum Senden des Messergebnisses in der Form einer Kurznachricht des GSM-Systems umfasst.
EP97904469A 1996-02-12 1997-02-11 Verfahren und system zum überwachen des gesundheitszustandes eines patienten Expired - Lifetime EP0959755B1 (de)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
FI960636A FI960636A (fi) 1996-02-12 1996-02-12 Menetelmä potilaan terveydentilan valvomiseksi
FI960636 1996-02-12
PCT/FI1997/000085 WO1997028736A1 (en) 1996-02-12 1997-02-11 A method for monitoring the health of a patient

Publications (2)

Publication Number Publication Date
EP0959755A1 EP0959755A1 (de) 1999-12-01
EP0959755B1 true EP0959755B1 (de) 2006-12-13

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EP97904469A Expired - Lifetime EP0959755B1 (de) 1996-02-12 1997-02-11 Verfahren und system zum überwachen des gesundheitszustandes eines patienten

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US (1) US5772586A (de)
EP (1) EP0959755B1 (de)
JP (1) JP3993236B2 (de)
KR (2) KR100535829B1 (de)
AU (1) AU1726697A (de)
DE (1) DE69737106T2 (de)
DK (1) DK0959755T3 (de)
FI (1) FI960636A (de)
WO (1) WO1997028736A1 (de)

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US5772586A (en) 1998-06-30
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JP3993236B2 (ja) 2007-10-17
DK0959755T3 (da) 2007-01-22
KR100535829B1 (ko) 2006-08-23
WO1997028736A1 (en) 1997-08-14
AU1726697A (en) 1997-08-28
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FI960636A (fi) 1997-08-13
DE69737106D1 (de) 2007-01-25

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